Organization Active NPI

Alliance Dental Specialties of Manahawkin

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manahawkin, NJ
National Provider Identifier
1790029031
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
16514 Issued in NJ
Legal business name
ALLIANCE DENTAL SPECIALTIES OF MANAHAWKIN
Practice address
1301 Route 72 East
Suite 220
Manahawkin, NJ 08050-2483
Phone
(609) 978-6400
Fax
(732) 842-5910
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Frattellone, DMD
Title
Owner
Phone
(732) 842-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 16514 NJ Primary

Addresses

Primary practice location

1301 Route 72 East
Suite 220
Manahawkin, NJ 08050-2483

Mailing address

515 Newman Springs Rd
Lincroft, NJ 07738-1426
Phone (732) 842-5915

National Provider Directory

National Provider Directory

Locations

515 Newman Springs Rd
Lincroft, NJ 07738
Phone (732) 842-5915

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1790029031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NEWMAN SPRINGS RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381426",
            "telephone_number": "732-842-5915",
            "fax_number": "732-842-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ROUTE 72 EAST",
            "address_2": "SUITE 220",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502483",
            "telephone_number": "609-978-6400",
            "fax_number": "732-842-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DENTAL SPECIALTIES OF MANAHAWKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "FRATTELLONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-842-5915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "16514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.